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NPI Code Detail

MEDICARE: PAMELA ANN WRIGHT-HACHET LMSW

MEDICARE: PAMELA ANN WRIGHT-HACHET LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801081249MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1800D162220OTHERMIBC/BS

General Provider Information

NPI Number : 1992898001
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA ANN WRIGHT-HACHET LMSW
Provider Business Mailing Address
First Line : 1870 LEONARD ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49505-5650
Country : US
Telephone Number : 616-956-9619
Fax Number : 616-956-8033
Provider Business Practice Location Address
First Line : 1870 LEONARD ST NE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49505-5650
Country : US
Telephone Number : 616-956-9619
Fax Number : 616-956-8033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 02/21/2013

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Directions to “ PAMELA ANN WRIGHT-HACHET LMSW” Practice Location

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